A quality team identifies a problem on an intermediate care unit concerning documentation of ambulation for patients who are postoperative for open heart surgery and are on a routine schedule. Patients are ambulated sporadically, not per the surgery protocol. On closer analysis, it is noted that the ambulation schedule is adhered to during the day shift because the cardiac rehab nurse worked with each patient. However, the evening shift presents problems; there is no documentation of ambulation or sporadic documentation. The quality improvement (QI) nurse notes only 30% compliance in documented ambulation during the evening shift. The QI nurse determines that the target for this issue is 100% compliance with ambulation schedules.